Individual provider Active NPI

Jose Miguel Bernal Broche, APRN, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619832151
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11044286 Issued in FL
Practice address
3830 NW 11TH St Apt 530
Miami, FL 33126-4241
Phone
(786) 818-8130
NPI assigned
Dec 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11044286 FL Primary

Addresses

Primary practice location

3830 NW 11TH St Apt 530
Miami, FL 33126-4241

Mailing address

3830 NW 11TH St Apt 530
Miami, FL 33126-4241
Phone (786) 818-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11044286FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1619832151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 NW 11TH ST APT 530",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264241",
            "telephone_number": "786-818-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 NW 11TH ST APT 530",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264241",
            "telephone_number": "786-818-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL BROCHE",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11044286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.